| NPI | 1811320237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP137350) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 23478) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2018-10-05 |